Name: Dr. Mike Roskies
Address: 66 Avenue Road, Suite 1, Toronto, Ontario, M6H 2S1
Telephone: (416) 922-4513
Price range: $$
Rating: 4.7

Cutting-edge (with less cutting)

The quest for the perfect nose can be a difficult one. Every year, thousands of people undergo surgery and recovery from nose jobs. But what if you could get outstanding results with less discomfort and downtime? What if there was a technique that was more precise than conventional surgery with less chance of complications?

It’s possible with preservation rhinoplasty. Dr. Mike Roskies combined years of experience and study to develop this cutting-edge method of Preservation Rhinoplasty in Toronto for his patients. He dedicated his career to helping people look and feel their absolute best and is ready to help you get the nose you’ve always wanted for yourself.

What is Preservation Rhinoplasty?

Rhinoplasty is a common cosmetic surgery, often known as a “nose job.” Thousands are performed every day, and variations of the procedure have been practiced since ancient Egypt. Developments over the millennia have made this surgery safer, more precise, and more effective, so much so that it’s one of the most popular plastic surgery procedures today.

Preservation rhinoplasty is the latest development in this long line of progress. It is now possible to get your nose closer to perfect with less discomfort than ever before. It provides lasting, optimal results with a faster recovery than conventional methods. Preservation rhinoplasty achieves this by preserving as much of the cartilage and bone in the nose as possible and using targeted interventions to alter the shape of the nose with less tissue removal; hence, preservation rhinoplasty.

The nose is the centerpiece of the face. When it’s crooked, misshapen, or unaligned, it can be a huge distraction from your face’s overall beauty. Whether its adverse condition results from an accident, time, or simple genetics, fixing your nose can be a crucial step toward achieving the look you want.

Preservation Rhinoplasty Benefits

Choosing modern preservation rhinoplasty procedures over older methods is a lot like remodeling a house without tearing down the framing. You get the upgrade without the destruction. Dr. Roskies champions this approach because it respects your natural anatomy while delivering the refinement you want.

Here's why patients love this method.

It Looks Like You: We avoid that "operated on" or scooped-out look. By keeping the natural lines of the dorsal bridge intact, you get natural looking results that preserve your character.
Quicker Bounce Back: Since we aren't disrupting the nasal tissues and lymphatic drainage as aggressively, the rhinoplasty recovery is typically faster with significantly less swelling and bruising than traditional methods.
Built to Last: Maintaining the original nasal structure means your nose stays strong and stable for the long haul, reducing the risk of valve collapse or breathing issues down the road.
Refined, Not Redone: It’s the ideal cosmetic nose surgery for people who want to lower a hump or refine a tip without looking like a completely different person.

Preservation Rhinoplasty vs. Subtractive Rhinoplasty

Traditional approaches to rhinoplasty tend to be subtractive and structural. This means they focus on removing tissue and reinforcing the structure. These techniques tend to increase the instability of the nasal tissues and/or create results that are immobile and unnatural.

Their biggest weakness is in how the reconstructed nose adapts as time goes on. Because they’ve removed or reinforced bones, ligaments, cartilage, and skin, traditional methods tend to be inelastic and unable to properly adjust as your face naturally changes. This means that reconstructive procedures are inevitable.

Preservation rhinoplasty differs in that it seeks to reshape & repurpose existing tissues instead of removing or reformatting them. Toronto preservation rhinoplasty expert Dr. Mike Roskies improves on traditional methods by reshaping the nose without compromising your body’s natural resilience and flexibility. Like a highly-skilled sculptor, this technique allows Dr. Roskies to reposition your nose and its features in a way that looks natural and will last a lifetime. The results: less trauma to your face, less swelling and bruising, a shorter recovery, and long-lasting beauty without long-term nose job complications.

Toronto Facial Plastic Surgeon Dr Mike Roskies

How do I know if Preservation Rhinoplasty is right for me?

—Mike Roskies, MD, MSc, FRCSC

Nasal reshaping can help address various concerns with the appearance of your nose. These can include:

Size
Width of the bridge
Size and position of the nostrils
Profile contours
Tip of the nose
Asymmetry

Because it relies on reshaping and repositioning existing tissue, it’s important that you have enough healthy tissue for the preservation rhinoplasty technique. This means that the technique is not suitable for those who have had nasal surgery (cosmetic rhinoplasty or septoplasty) or those who have had significant prior trauma to the nose. Additionally, the ideal candidate’s face has completed its growth process, and they are healthy overall. It’s also important that they have realistic goals and a positive outlook for their results. During your consultation for a preservation rhinoplasty Toronto Facial Plastic Surgeon Dr. Mike Roskies will review your goals with you and help you determine if this is the correct method to help you reach your goals.

Your Preservation Rhinoplasty Procedure

We perform your preservation rhinoplasty procedure right here in our fully accredited surgical facility in Toronto. Since this technique is all about finesse, Dr. Roskies performs the surgery while you're under general anesthesia so you are completely comfortable and safe.

Unlike traditional rhinoplasty or a standard nose job that often involves chopping off the top of the nasal bridge, Dr. Roskies uses a smarter preservation rhinoplasty technique. He works beneath the surface, carefully removing small amounts of cartilage and bone from the foundation of the nose. This lets the nasal bridge settle down naturally into a straighter position. It keeps the smooth, natural lines of your dorsal bridge intact and protects the nasal ligaments and nasal tissues that older surgical techniques often disrupt. The surgery performed usually takes two to three hours. It’s a meticulous approach that helps enhance facial balance and facial harmony without the aggressive tissue removal you see in old-school rhinoplasty surgery.

Recovery & Downtime

One of the biggest wins with the preservation rhinoplasty technique is the recovery. Because we aren't disturbing the soft tissue envelope (your nasal skin and ligaments) nearly as much, there is significantly less trauma compared to traditional "subtractive" rhinoplasty procedures.

The First Week: You’ll rock a nasal splint to protect the new nasal structure. You might feel stuffy, like you have a head cold or some mild discomfort, but actual pain is usually very manageable.
Bruising & Swelling: Thanks to the preservation rhinoplasty approach, swelling and bruising are typically way less severe than with traditional rhinoplasty.
Social Downtime: Most rhinoplasty patients feel ready to get back to work and friends within 10 to 14 days. By then, the splint is off and any leftover bruising is easy to hide.
Activity: You can start light walking right away, but hold off on the heavy gym sessions for four to six weeks to let those nasal bones set perfectly.

Preservation Rhinoplasty Results

The big moment happens one week after rhinoplasty surgery when we take the splint off. You will see the new profile immediately. Even with some swelling, you’ll notice a straighter, more refined contour. Because we preserved the nasal bridge, the results tend to look incredibly natural, skipping that "scooped" or "surgical" look that happens with traditional rhinoplasty.

Over the next three to six months, things will get even sharper as the skin settles over the structure. You’ll see the final natural looking results around the one-year mark. Whether we are fixing a dorsal hump or refining the nasal tip, this technique gives you a sturdy, natural nose that offers superior facial balance for life.

The Cost of Preservation Rhinoplasty

Transparency is important to us. The cost of preservation rhinoplasty in Toronto varies based on how complex the correction is and how long the surgery takes. Your quote will be all-inclusive—covering the surgeon’s fee, anesthesia, facility costs, and all your care before and after.

This is a highly specialized technique performed by an experienced rhinoplasty surgeon, so it’s an investment in getting it done right. During your rhinoplasty consultation, we’ll break down all the costs and chat about financing options to help make it happen.

Schedule your Preservation Rhinoplasty consultation with Dr. Mike Roskies today

Mike Roskies, MD, MSc, FRCSC

Come see the difference a Toronto preservation rhinoplasty procedure with Dr. Mike Roskies can make in your appearance and your lifestyle. The possibilities of a more beautiful appearance and less downtime can be yours.

You can request an appointment with Dr. Roskies by clicking here. We are excited to get to know you and your story and journey toward your most beautiful future together!

Preservation Rhinoplasty Frequently Asked Questions

What are the risks with Preservation Rhinoplasty?

The risks associated with preservation rhinoplasty are similar to those for other procedures. While we will cover the risks thoroughly during your consultation, they can include:

Complications from anesthesia
Infection
Scarring
Difficulty breathing
Numbness
Suboptimal results

Will my preservation rhinoplasty hurt?

During your procedure, you can expect to be fully sedated. While under sedation anesthesia, you will not feel any pain or be awake or aware during your surgery. However, recovery can be painful for several weeks, so Dr. Roskies will prescribe you any necessary medication to help relieve your discomfort.

Do I need to have someone drive me home because of anesthesia?

Yes, you do. Preservation rhinoplasty procedures usually call for sedation anesthesia, and the effects can take several hours to wear off. Further, you may be required to use powerful pain medication for the first few days after your procedure, so it is recommended that you have someone available to care for you during this time as well.

Can a preservation rhinoplasty fix a deviated septum?

Absolutely. Functional issues like a deviated septum or blocked nasal passages are often fixed during a preservation rhinoplasty. Dr. Roskies can improve your breathing while enhancing the nasal structure visually. It’s the best of both worlds.

Can preservation rhinoplasty fix a droopy tip?

Yes. While preservation is famous for fixing the bridge, it’s also great for the nasal tip. If you have a drooping tip (especially when you smile) or a bulbous shape, Dr. Roskies can refine and lift it using cartilage grafts or sutures. The goal is to improve the nasal tip definition so it matches the rest of your new, sleek profile without looking "pinched."

Will a preservation rhinoplasty affect my breathing?

In a good way! Unlike older techniques that sometimes compromised the airways to make the nose smaller, preservation rhinoplasty maintains the structural integrity of the nasal passages. As a board-certified facial plastic surgeon, Dr. Roskies prioritizes your airways. He often improves breathing issues during the cosmetic surgery, ensuring your facial aesthetics and function are both on point.

When will I see the final results?

You’ll love what you see when the splint comes off between 7 - 10 days, but patience is key. While the swelling and bruising drop off fast, the final "shrink wrap" effect of the skin takes time. You’ll be camera-ready in a few weeks, but the ultra-refined, final natural looking results typically settle in fully around the one-year mark. It’s worth the wait for a nose that fits your face perfectly.

Schedule a Consultation Today

This life is what we make of it. Dr. Mike Roskies helps patients like you determine their own futures through innovative, meticulous, and gorgeous facial plastic surgery in Toronto. As one of the rising stars of plastic surgery, patients come from around the country to receive Dr. Roskies’ life-changing procedures. Ready to give your story an exciting new chapter? Schedule a consultation with Dr. Roskies today.

66 Avenue Road #1, Toronto, Ontario M5R 3N8

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(416) 922-4513

Preservation Rhinoplasty Toronto, Ontario